Individual
JEREMY MIHNEVYCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1717 WALDEN AVE, BUFFALO, NY 14225-4924
(716) 685-2233
Mailing address
66 SUMMER ST APT 8F, BUFFALO, NY 14209-2234
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
063280
NY
Other
Enumeration date
06/10/2022
Last updated
08/22/2023
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